| Sunnyside Dental, Pc | |
|
4701 Queens Blvd Suite 202 Sunnyside NY 11104-1600 | |
| (718) 706-1717 | |
| (718) 706-7477 |
| Full Name | Sunnyside Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4701 Queens Blvd, Sunnyside, New York |
| Authorized Official Name and Position | Tatyana Yapport (PRESIDENT) |
| Authorized Official Contact | 7187061717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Dental, Pc 4701 Queens Blvd Suite 202 Sunnyside NY 11104-1600 Ph: (718) 706-1717 | Sunnyside Dental, Pc 4701 Queens Blvd Suite 202 Sunnyside NY 11104-1600 Ph: (718) 706-1717 |
| NPI Number | 1568505360 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568505360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 045521 (New York) | Primary |
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